Tagged "TalkTools hierarchy"

Ask A Therapist: Jaw Jutting

Posted by Deborah Grauzam on

Hi TalkTools,


How can I inhibit jaw jutting for Horn #1? We are working on the Bite Tube Set and establishing the natural bite with Bite Blocks but this child presents with frequent jaw slide or jaw jutting. Thanks,




Hi Anne,

I would provide firm jaw support to inhibit the jaw jutting. You can use jaw support for Horn #1 and Horn #2. Beginning with Horn #3 you would no longer provide jaw assistance.  I would be using the jaw support and gradually try to decrease use as the patient will tolerate. I hope this helps. Please let us know if you have any other questions.




Elizabeth Smithson, MSP, CCC-SLP is a Speech-Language Pathologist who has over 10 years of professional experience working with infants, children, adolescents and adults. She earned her Master of Speech Pathology at the University of South Carolina. Liz is also a Level 5 TalkTools® Trained Therapist. She has received specialized training in Oral Placement Therapy, Speech, Feeding, Apraxia, Sensory Processing Disorders, and PROMPT©. Liz works with clients with a wide range of disabilities including Cerebral Palsy, Down Syndrome, and Spinal Muscular Atrophy.  She works through her own private practice Elizabeth Smithson Therapy, LLC in the home setting and in the TalkTools® office in Charleston, SC.

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Ask a Therapist: What Hierarchies to follow for my child?

Posted by Deborah Grauzam on

I am a parent who has been watching your DVDs in order to help my son – I don't think there is a TalkTools trained therapist where I live (Hawaii). How do I know which hierarchies are appropriate? I don't know how to diagnose him properly. Could I send you a video and have you tell me what he needs? Also, stuttering isn't mentioned on the DVD, would the hierarchies apply? I'm very excited to get started. Thank you!

I will do my best to help, although I do wish you had a speech therapist to guide you. Check "Find a Therapist" to see a list of Speech Language Pathologists (SLPs) we have trained in our techniques. If no one in your area is listed, please call the TalkTools Customer Service Department at 888-529-2879, we may be able to find a therapist near you who has completed “A Three Part Treatment Plan for Oral-Placement Therapy.” Do you travel to the mainland? The best way to determine what he needs is to see him and we have many SLPs in the States who could do an evaluation, however, we have had parents view our DVDs to help their children when a therapist is not available.

If you know other families with children with similar issues you might buy the DVD as a group and learn together. That way you would have a support system in place if you have questions. Also, with the knowledge you gain, you are welcome to ask me specific questions and I will do my best to help you. Without seeing your son, I cannot tell you what hierarchies he would need, but the DVDs will teach you what to look for.

Thanks and good luck!

Sara Rosenfeld-Johnson

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